Organization
THE ADAM DIXON PERSEVERANCE FOUNDATION
Active
Other names
The Adam Dixon Perseverance Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM CONLEY DIXON (CEO)
(480) 560-6370
Entity
Organization
Contact information
Practice address
5060 N 19TH AVE # 300-14, PHOENIX, AZ 85015-3210
(480) 560-6370
Mailing address
5060 N 19TH AVE # 300-14, PHOENIX, AZ 85015-3210
(480) 560-6370
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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